Application Question
Medium difficulty • Concept in a practical situation
Question 1
Applied ConceptA patient in hospital is put on a mechanical ventilator that forces air into the lungs and withdraws it. With reference to normal breathing mechanism, explain why this works and what pressure changes the ventilator is mimicking.
- Normal breathing works by creating a pressure gradient between the lungs and atmosphere; inspiration occurs when intra-pulmonary pressure drops below atmospheric pressure and expiration when it rises above.
- The ventilator mimics inspiration by forcing air in under positive pressure, inflating the lungs, and mimics expiration by allowing or actively withdrawing air — recreating the pressure gradient artificially.
- In a patient who cannot use their diaphragm or intercostal muscles (e.g., due to paralysis), the ventilator substitutes for these muscles in generating the necessary thoracic volume and pressure changes.
- The principle exploited is the same: any mechanism that lowers intra-pulmonary pressure relative to atmosphere moves air into the lungs, and any mechanism that raises it above atmosphere expels air.